| NPI | 1366993974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LITTON Owner 901-509-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2017-04-28 |